...insurance premiums out of their pocket. The quality of the insurance will depend on the type of plan that a person is paying for and there could be high out of pocket expenses. In the US healthcare isn’t guaranteed by the government like in other industrialized nations. In the US the government doesn’t control most insurance systems or how they operate. People in the US who do have healthcare coverage are covered either by private insurance or a public health care system. A lot of unemployed individuals don’t have any coverage at all. Medicare, Medicaid, Children’s Health Insurance Program and the Veteran Affairs program are considered public health care systems. For some of these government programs, individuals may still be responsible for a premium depending on income. The US system also offers the Affordable Care Act. This act offers insurance to those who have been unable to obtain coverage due to not qualifying for other public insurance and not being able to obtain private insurance for various reasons. The Affordable Care act also allows for children to be covered under their parents plan until they are 26 years old. Medicare is the program in the US that...
Words: 1930 - Pages: 8
...Data verification Data entry, processing and analysis Kachia LGA (A brief overview) Results of Evaluation: • ON MEETING OBLIGATIONS & RESPONSIBILITIES BY PARTNERS: Page 14 Obligations and Responsibilities of NPHCDA and Areas where NPHCDA has failed in fulfilling its obligations and responsibilities Obligations and Responsibilities of Kaduna State Government and Areas where SMOH has failed in fulfilling its obligations and responsibilities Obligations and Responsibilities of Kachia Local Government and Areas where Kachia LGA has failed in fulfilling its obligations and responsibilities. Obligations and Responsibilities of Communities and Areas where Communities have failed in fulfilling their obligations and responsibilities Obligations and Responsibilities of Tulsi Chanrai Foundation and Areas where TCF has failed in fulfilling its obligations and responsibilities. • On Project Activities to meet Objectives Page 20 Organization of health services Staff disposition Range of services provided at health facility Ward Health System Project Map Major health problems Essential Drugs Exemptions and Deferments Referral programme. (including Ambulance Service) Essential...
Words: 6220 - Pages: 25
...Transforming an Electrophysiology Practice To Impact Timeliness of Care Studies of the U.S. healthcare system have indicated that timely access to appropriate providers improves the delivery, quality, and outcomes of care. Conversely, delayed or limited access contributes to patient/provider frustration, poorly coordinated care, unnecessary emergency room visits, and potential increases in the burden and cost of disease. A recent high-profile crisis in health care focused on prolonged and unfair wait times at Veterans Health Administration (VHA) facilities that led to potentially preventable morbidity and mortality. In response to this, the Institute of Medicine (IOM) was commissioned by the VA to understand experiences and opportunities throughout the nation related to the scheduling of and access to health care. In a very recent publication from October 2015, the IOM summarized their findings and established that inappropriate scheduling practices are a systemic problem across the entire nation and called for an end to arbitrary scheduling standards, for more transparency, more accountability, and for more attention to be paid to the “corrosive culture” that led to the manipulation of data in the system (1). The report also concludes that opportunities exist to implement enhanced practices and strategies. Appropriate Access To Care Within 48 Hours has been identified as one of the top priorities of the Spectrum Health System. To measure access, Spectrum Health uses...
Words: 5471 - Pages: 22
...Dealing with Fraud By: Kevin McCarthy To: Dr. Michelle Rose HSA 515 Health Care Policy, Law, and Ethics December 13, 2012 Abstract As the Chief Nursing Officer, I am responsible for one of the state’s largest Obstetric Health Care Centers. I have received word of some fraudulent behaviors in the center. I will evaluate how the Healthcare Qui Tam affects health care organizations. I will provide four (4) examples of Qui Tam cases that exist in a variety of health care organizations. I will devise a procedure for admission into a health care facility that upholds the law about the required number of Medicare and Medicaid referrals. I will recommend a corporate integrity program that will mitigate incidents of fraud and assess how the recommendation will impact issues of reproduction and birth. I will devise a plan to protect patient information that complies with all necessary laws. Evaluate how the Healthcare Qui Tam affects health care organizations Qui tam is shorthand for a Latin phrase that means “he who sues for the king as well as for himself.” In a qui tam case, the whistle – blower (aka relator) files the suit as a kind of “private attorney general” on behalf of the government. The government can choose to take over the prosecution, but if it declines to do so the relator can proceed alone (Showalter). Any person with information about health care fraud can be a qui tam plaintiff. Person is defined as “any natural person, partnership, corporation, association...
Words: 3218 - Pages: 13
...The Data Are In: Best Home Care Marketing Practices Revealed Part 2 White Paper 06-001 WP06-001 Contents 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Background Participant Agency Characteristics Outcomes Conversion Ratio Areas of Interest Written Marketing Plan Formal Marketing Budget Sales Team Training Specialty Programs Findings Interpretation Conclusion Side Bar: Action Plan for Sales and Marketing Success About the Authors Page 1 Pages 2-3 Pages 3-4 Pages 5-6 Page 6 Pages 6-7 Pages 7-9 Pages 9-10 Pages 11-12 Pages 12-14 Page 14 Pages 15-16 Page 16 Page 17 Page 17 WP06-001 The conclusion of a two-part series, this article provides the first look at the responses from a study evaluating the best marketing practices of home health agencies across the country. In Part 1, we profiled a few exemplary agencies with the goal of describing a set of common attributes that have lead to success. In Part 2 (below), we delve deeper into the component measures by exploring the first industry-specific benchmarks of marketing success! Background With each passing day, sophisticated sales and marketing becomes a more important trait among the industry’s leading providers. Ninety percent of survey respondents indicated that they have experienced increased competition over the last three years. Only 51 percent reported that they had increased referrals over the same period with 33 percent citing decreases. The million dollar question, then, is, “What practices are prevalent and...
Words: 4978 - Pages: 20
...10/31/2014 Word Count: ~3,812 Abstract This paper will present an assessment and analysis of the health care information researched in Plumas County with addition to percentages and statistics gathered from registered sites and resources. This paper will also develop health resolutions and suggestions that are to be taken in to consideration with a resources profile and analysis. The research provided, focusing on the iron triangle made up of cost, access, and quality; will identify alarming health problems with increases and/or decreases to access and quality taken from legitimate sources and government data and surveys. The future consequences of these following problems, how Plumas County's health professionals plan to act on them, and recommendations to generate solutions will also be presented. A population research conducted in 2013, the "United States Census Bureau" estimated a total population of 18,859 residents in Plumas County making up .05% of California's total population estimated at 38,332,521. Since 2010, the county has shown a 6% decrease in total population losing more than a thousand people in the past 3 years. Plumas County contains a very small fraction of California's residents compared to larger counties in the state. A more precise breakdown of the research in population provided by the "U.S. Census Bureau" explains that those who are under the age of five make up 4% of county's population, those who are under the age of eighteen make up 17%,...
Words: 4856 - Pages: 20
...Assignment 2 Financing and Restructuring Health Care Dr. David Tataw HSA 500 Health Services Organization January 28, 2012 Abstract: This paper analyses the Financing and Structuring Health Care by analyzing four important notions. Firstly it Identifies and describe the three main types of health insurances in the U.S. Secondly it explains the three methods for categorizing health insurance in the U.S. This is followed by a synthesis of the pros and cons of managed health care for the health care provider, insurer, and patient. Finally the papers describe the impact of managed care on both the Medicare and Medicaid programs. Identify and describe the three main types of health insurances in the U.S. Rodts (2010) talks about the new Healthcare system in US and the challenges it brings for healthcare providers but there is always challenge when one has to select the certain type of health cover for himself. It is therefore important to understand main types of health insurance in the US. While Hall (2010) outlined the three different types of reinsurances brought about by the health reform, Health Insurance Info (2010) notes that are a number of different types of health insurance coverage designed to meet the needs and budget of a variety of individuals. In essence, health insurance is a risk management tool that ensures you and your family has access to the healthcare you need, when you need it without causing a tremendous financial burden. The cost of health insurance...
Words: 3928 - Pages: 16
...HEALTH RELATED SERVICES, INC. STRATEGIC/BUSINESS PLAN 2012 STRATEGIC/BUSINESS PLAN 2012 I. MISSION STATEMENT HEALTH RELATED SERVICES, INC. is dedicated to provide high quality, safe professional home care services. We practice the provision of comprehensive patient-centered, cost effective care focused on each patient’s unique needs. Restoration of our patient’s health well-being is our highest priority. GOALS AND OBJECTIVES II. GOALS 1. To provide a high quality of comprehensive health care services through a coordinated plan of treatment to the ill, aged, and disabled residents of the community. 2. To provide continuity of health care services in the referral mechanism to facilitate uninterrupted care for the individual patient within the health care system. 3. To provide the psychological and rehabilitative stimuli for early recovery of the maximum rehabilitation of the individual in the home environment. 4. To provide appropriate environmental change in those situations where such action is indicated for the promotion and maintenance of health of the individual and his family. 5. To provide positive channels of communication with the physicians, health and welfare agencies and the residents of the community. 6. To provide an Agency environment that stimulates employee growth and conduct for the...
Words: 1893 - Pages: 8
...S w 908D01 PAEDIATRIC ORTHOPAEDIC CLINIC AT THE CHILDREN'S HOSPITAL OF WESTERN ONTARIO Manpreet Hora wrote this case under the supervision of Professor Robert D. Klassen and Dr. Kellie Leitch solely to provide material for class discussion. The authors do not intend to illustrate either effective or ineffective handling of a managerial situation. The authors may have disguised certain names and other identifying information to protect confidentiality. Ivey Management Services prohibits any form of reproduction, storage or transmittal without its written permission. Reproduction of this material is not covered under authorization by any reproduction rights organization. To order copies or request permission to reproduce materials, contact Ivey Publishing, Ivey Management Services, c/o Richard Ivey School of Business, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; phone (519) 661-3208; fax (519) 661-3882; e-mail cases@ivey.uwo.ca. Copyright © 2008, Ivey Management Services Version: (A) 2010-01-13 Dr. Kellie Leitch glanced at the data on wait times collected from the patients in one of her clinics. As Chief of Paediatric1 Orthopaedic surgery at the Children’s Hospital of Western Ontario (CHWO), she was very concerned by the long times that the young patients (and their parents) were experiencing in the daily clinic. Long wait times tended to aggravate the already pent-up distress and concern that they were feeling, and parents were...
Words: 3271 - Pages: 14
...the actual use of telemedicine there. A review identified five telemedicine networks providing second opinions; each network had been in operation for over five years. Although they have different aims and methods of operation, they exhibit some common features. In particular, none of them appear to be dealing with markedly increasing referral rates. Rough calculations suggest that only about 0.1% of the potential telemedicine demand from the developing world is being met. Possible reasons include the referrers being too busy and a perceived loss of control. If this analysis is correct, then the right strategy for future telemedicine in developing countries will be to concentrate on the construction of within-country networks that demonstrably alter health outcomes, can be shown to be cost-effective and sustainable, and will provide a model for other countries to copy. .............................................................. Telemedicine has been used in the industrialized world for some years, albeit with rather patchy success.1 The initial enthusiasm of the 1990s has given way to a more reflective view of the place of telemedicine in health-care delivery, as many of the pilot projects have failed to be sustained once their seed funding ran out. There is little routine telemedicine activity on an enterprise scale, e.g. at...
Words: 4021 - Pages: 17
...00 | $100. | 17% | $20 | $85.75 | 28.54% | $34.25 | Plastic Surgery | $15,000 | $15,000 | 0% | $0 | $14,000 | 6.7% | $1000.00 | Physical Therapy | $75.00(per visit) | $55.00 | 27% | $20. | $50.00 | 33.3% | $25.00 | Chiropractor | $ 100.00(Per visit) | $ 70.00 | 30% | $ 30.00 | $ 57.00 | 43% | $ 43.00 | Total Overages Date | Charge Type | Amount Overcharged | | | | 03/01/2002 | Office Visit | $ 15.00 | 03/15/2002 | Office Visit | $ 15.00 | 04/01/2002 | Office Visit | $ 15.00 | 04/15/2002 | Office Visit | $ 15.00 | 05/01/2002 | Office Visit | $ 15.00 | 05/15/2002 | Office Visit | $ 15.00 | 03/01/2002 | Pain Medication | $ 20.00 | 04/01/2002 | Pain Medication | $ 20.00 | 05/01/2002 | Pain Medication | $ 20.00 | 06/01/2002 | Pain Medication | $ 20.00 | 03/01/2002 | Physical Therapy | $ 20.00 | 03/08/2002 | Physical Therapy | $ 20.00 | 03/15/2002 | Physical Therapy | $ 20.00 | 03/22/2002 | Physical Therapy | $20.00 | 03/29/2002 | Physical Therapy | $ 20.00 | 04/07/2002 | Physical Therapy | $ 20.00 | 04/15/2002 | Physical Therapy | $20.00 | 04/22/2002 | Physical Therapy | $ 20.00 | 04/29/2002 | Physical Therapy | $ 20.00 | 05/08/2002 | Physical Therapy | $ 20.00 | 03/02/2002 | Chiropractor | $ 30.00 | 03/09/2002 | Chiropractor | $ 30.00 | 03/16/2002 | Chiropractor | $ 30.00 | 03/23/2002 | Chiropractor | $ 30.00 | 03/30/2002 | Chiropractor | $ 30.00 | 04/08/2002 | Chiropractor | $ 30.00 | 04/16/2002 | Chiropractor...
Words: 1721 - Pages: 7
...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients...
Words: 6742 - Pages: 27
...Education on Wound Care for Diabetic Patients Education on Wound Care for Diabetic Patients Abstract Non-compliance of wound care management has increased the risk of infection and amputations. Diabetes wound care management is an important and fundamental aspect when it comes to diabetes teaching and education. Assessment of the feet daily and at a primary care office will provide information such as noncompliance, risks for neuropathy, peripheral vascular disease, macro-vascular disease, and possible amputation. Education provided by health care practitioners to the diabetic population will promote decrease in risk for further complications and the patient to be involved in their own care. Assessment, treatment, and education on wound care management with the involvement of the patient will increase the patient’s quality of life and be very beneficial to both the practitioner and the patient. Keywords: diabetic wound care management, diabetic ulcer care, outpatient diabetes management, diabetic care management Introduction Working in a primary care setting will involve a multitude of disease processes- diabetes mellitus being one of them. Diabetes is a disease that is characterized by high levels of blood glucose with a defect in insulin secretion and cell resistance. Without proper management, diabetes may lead to other issues in health. Examples of such, would be, delay in wound healing, leading to foot ulcerations, which thus increases the risk for amputations...
Words: 5353 - Pages: 22
...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients...
Words: 6742 - Pages: 27
...Business Plan – International Urgent Care Clinic Karen Hernández Marisela Rodríguez Carlos Fernández ENTR 360 July 10th, 2012 Prof. Harold Chittenden International Urgent Care Clinic - Business Plan Executive Summary As part of its constant efforts to improve access to urgent care in touristic areas, International Urgent Care Clinic will be open its facilities in International Drive in Orlando, Florida. The clinic will be owned and managed by Dr. Carlos Fernández, Dr. Karen Hernández and Dr. Marisela Rodríguez as a partnership. They will be responsible for ensuring the general health of their patients and creating a viable and profitable business medical practice. Throughout the first year, the doctors will work with their capital to get the clinic on a good financial and operational stability, using this urgent care clinic business plan as a guiding management tool. The doctors will focus on diagnosing and treating urgent care conditions of all ages while emphasizing on the overall health and wellness of their patients. The clinic will utilize new equipment and a trained staff that will be able to improve the care of each patient. Internantional Urgent Care Clinic will try to provide the most complete medical care possible in order to optimize the care and well-being of each patient. The marketing strategy involves a combination of print media advertising, website development, networking, and promotional events, all aimed at tourist and residents living within...
Words: 3100 - Pages: 13
